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Individual

DR. JIMMY E COLLINS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
1034 MAIN ST, BEAN STATION, TN 37708-4257
(865) 993-4074
(865) 993-4194
Mailing address
420 DERBYSHIRE CT, MORRISTOWN, TN 37814-1083
(423) 587-8855

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3149
TN

Other

Enumeration date
02/20/2007
Last updated
07/08/2007
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